SHAUNDE JERMAINE SMITH (NP) – Adult Health Nurse Practitioner, NPI 1124268529

SHAUNDE JERMAINE SMITH (NP) is a healthcare provider. based in Silsbee, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 656857 (TX). The NPI Number for SHAUNDE JERMAINE SMITH (NP) is 1124268529

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SHAUNDE JERMAINE SMITH (NP)
NPI
1124268529
Phone
(409) 385-0556
Address
711 HIGHWAY 327 E
Enumeration Date
24 February 2009
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093843430
Graduation Year
2008 (18 years ago)
PAC ID
2769427269
Group Practice PAC ID
7113958539
Professional Enrollment ID
I20090331000253
Address ID
TX759514002JA315XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SHAUNDE JERMAINE SMITH (NP)

  • 711 HIGHWAY 327 E

    SILSBEE, TX 776565005

    Phone: (409) 385-0556

    Type: Location

  • 1185, North 11th Street, Silsbee, Hardin County, Texas, 77656, United States

    SILSBEE, TX 776563619

    Phone: (409) 276-2067

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: ABBVIE INC. ($60).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090331000253INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77656)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113958539View full group profile

Reviews

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Frequently asked questions

Where can patients find SHAUNDE JERMAINE SMITH (NP)'s NPI?
You can confirm SHAUNDE JERMAINE SMITH (NP) with NPI 1124268529; it appears in the national provider directory.
Is SHAUNDE JERMAINE SMITH (NP) currently active in the NPI registry?
CMS-published data lists SHAUNDE JERMAINE SMITH (NP) as an active registrant.
Can you summarize SHAUNDE JERMAINE SMITH (NP)'s specialty in plain language?
Clinically, the directory lists SHAUNDE JERMAINE SMITH (NP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SHAUNDE JERMAINE SMITH (NP) practice in Texas?
You will see Silsbee, Texas on file for SHAUNDE JERMAINE SMITH (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.